Department of Community Health and Social Medicine, Sophie Davis School of Biomedical Education/CUNY School of Medicine, City College of New York, City University of New York, Townsend Harris Hall, Room 404A, 160 Convent Avenue, New York, NY, 10031, USA.
Department of Community Health and Social Medicine, Sophie Davis School of Biomedical Education/CUNY School of Medicine, City College of New York, City University of New York, Townsend Harris Hall, Room 404A, 160 Convent Avenue, New York, NY, 10031, USA; Project ACHIEVE, New York Blood Center, 310 East 67th Street, New York, NY 10065, USA.
J Natl Med Assoc. 2020 Jun;112(3):284-288. doi: 10.1016/j.jnma.2020.03.008. Epub 2020 Apr 9.
HIV self-testing (HST) is an important complement to existing testing approaches for young Black men who have sex with men (MSM) and transwomen.
In this formative research, we describe prevalence and perceptions of HST using qualitative in-depth interviews (n = 29) and baseline quantitative data (n = 302) from an HST intervention trial for young Black MSM and transwomen.
In the qualitative analysis, participants preferred the privacy and flexibility of the HST but had concerns about its accuracy and being alone while testing. Quantitative results showed that 14% (44/302) had used an HST in their lifetime; of these, 64% (28/44) used it once and 23% (10/44) in the last 3 months.
To increase consistent testing, HST may provide a new avenue for at-risk individuals that value privacy and control and could benefit from social support during testing.
HIV 自我检测（HST）是对与男性发生性关系的年轻黑人男同性恋者和跨性别女性等现有检测方法的重要补充。
在这项探索性研究中，我们使用定性深入访谈（n=29）和 HST 干预试验的基线定量数据（n=302）描述了 HST 的流行情况和认知，该研究针对的是年轻的黑人男同性恋者和跨性别女性。
在定性分析中，参与者更喜欢 HST 的隐私性和灵活性，但对其准确性和独自检测时的安全性表示担忧。定量结果显示，14%（44/302）的参与者一生中曾使用过 HST；其中，64%（28/44）仅使用过一次，23%（10/44）在过去 3 个月内使用过。
为了增加定期检测，HST 可能为重视隐私和控制的高危个体提供了一个新途径，他们可能会在检测过程中受益于社会支持。
